| NPI | 1417166851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2011-00707) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WV 2245) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2013-01-17 |